The nurse administers an incorrect dose of medication to a patient. After assessing the patient, the nurse calls the physician to report the occurrence and then notifies the nursing supervisor about the medication error and completes an incident report. The nurse's manager takes a Quality Management (QM) approach. Which of the following is not a principle of QM?

Assignment of blame on the individual who made the error

Involvement in a thorough commitment to quality improvement for the benefit of the organization

Focus on outcomes and reliance on data-driven decisions

Operation most effectively within a flat, democratic organizational structure

Answer and Explanation

The Correct Answer is A

Choice A reason: Quality Management (QM) emphasizes systemic improvements and avoids assigning blame to individuals. It focuses on identifying and correcting processes that can lead to errors.

Choice B reason: A thorough commitment to quality improvement for the benefit of the organization is a fundamental principle of QM. It involves continuous efforts to enhance patient care and safety.

Choice C reason: QM relies on focusing on outcomes and making data-driven decisions. This ensures that changes lead to measurable improvements in patient care.

Choice D reason: QM operates most effectively within a flat, democratic organizational structure, which fosters open communication and collaboration among healthcare team members.

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Correct Answer is C

Explanation

Choice A reason: This choice suggests a negative view of human nature that is not constructive for conflict resolution. It is not typically the role of a mediator to assume that people are inherently difficult.

Choice B reason: The goal of conflict resolution is not to eliminate team members but to find ways to work together effectively. This choice does not reflect a healthy approach to resolving team conflicts.

Choice C reason: This choice recognizes the importance of having clear agreements or protocols in place to guide team members in resolving conflicts. Without such agreements, there is a risk of inconsistency and further conflict, making this the most appropriate answer.

Choice D reason: While it is true that people may seek agreements, this choice does not directly address the issue of conflict resolution within a team. It is more about the desire for harmony rather than a method for resolving conflicts.

A. Calling the assistant clinical director and asking her to share the bad news with the other staff members B. Posting a bulletin board announcement C. Holding a meeting with a small group of seasoned staff members and asking them how to break the news in the future D. Showing staff members the budget and asking for input about how to cut costs so that raises will be possible

Correct Answer is D

Explanation

Choice A Reason : While communication is essential, this approach lacks transparency and direct engagement with the staff. It may not foster trust or provide an opportunity for open dialogue.

Choice B Reason : Announcing the news through a bulletin board lacks personal interaction and may not address staff concerns adequately. It does not align with transformational leadership principles.

Choice C Reason: This approach demonstrates transformational leadership. By involving a small group of staff members, you create an opportunity for open discussion, empathy, and collaborative problem-solving.

Choice D Reason : Transparency about financial constraints is essential. By engaging staff in discussions about cost-cutting measures, you empower them to contribute ideas and understand the organization's challenges.

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Naxlex Comprehensive Predictor Exams

A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts. It is important to have agreements about how team members will work together because:

Correct Answer is C

Explanation

Correct Answer is D

Explanation

The nurse manager plans a series of staff development workshops for charge nurses to help them deal with conflicts. The first workshop introduces the four stages of conflict, which are:

At a hospital, there has been a 20% increase in incidents of instruments and sponges being left in patients during surgery, and surgeries performed on the wrong limbs. These incidents are known as:

When preparing staffing schedules, a nurse manager needs to calculate paid nonproductive time. Which of the following should the nurse manager consider?

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